In this large derivation and validation cohort, 5 clinical risk factors were found to significantly increase the risk of death in those presenting with acute UGI bleed: these included age >65, altered mental status, systolic BP<90, INR >1.5, or albumin <3. The risk of death increased with the number of factors present, from <1% to 25% with zero to 5 factors, respectively. This can be used to predict need for urgent endoscopy and/or ICU disposition (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.